| NPI | 1003825589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R EGGLER President 724-349-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS020691L) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-04-08 |